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Connecticut rates for HCPCS A9509

Iodine I-123 sodium iodide, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.08 / $1,844.67 / $2,770.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.20 / $1,844.67 / $1,844.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $5,898.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.37 / $792.50 / $983.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.26 / $143.26 / $143.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.26 / $143.26 / $143.26
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.23 / $1,516.23 / $1,516.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.58 / $2,170.19 / $2,213.60